Individual
DANIEL BOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 15TH AVE E, SEATTLE, WA 98112-5260
(206) 326-3280
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP30004729
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN00076250
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9630666
—
WA
Enumeration date
03/05/2007
Last updated
07/23/2007
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